James L Willis DO PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8915 Issued in FL

Legal business name

JAMES L WILLIS DO PA

Practice address

524 W James Lee Blvd
Crestview, FL 32536-5129

Phone

(850) 682-6143

Fax

(850) 682-0227

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James L Willis, DONPI 1154322915

Title

Physician

Phone

(850) 682-6143

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James L. Willis, D.O.

  • Hospitalist Physician
  • Tavares, FL
  • NPI 1154322915

  Family Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190678400000",
    "number": "1710173638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365129",
            "telephone_number": "850-682-6143",
            "fax_number": "850-682-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W JAMES LEE BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325365129",
            "telephone_number": "850-682-6143",
            "fax_number": "850-682-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES L WILLIS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-682-6143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Adkins Occupational Therapy, LLC
• Sarah Jack
• Jennifer Jackson
• Kayla Brianne Jackson, PHARMD
• Bianca Jacobs
• Kenyatta James
• Melanie R James, BCBA
• Theron Quentin Jameson, DO
• Jason G Seymour DMD & Kathleen Haley-Seymour DMD, PA
• Ruth Jenkins

• Family Medicine Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.